Whole Family Wellness Center LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05368100 Issued in NJ

Legal business name

WHOLE FAMILY WELLNESS CENTER LLC

Doing business as

WHOLEFamily Wellness Center

Practice address

99 Kinderkamack Rd
Suite 100
Westwood, NJ 07675-3012

Phone

(201) 723-1776

NPI assigned

Feb 3, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Trisha Sanders, LCSWNPI 1053680686

Title

Owner

Phone

(201) 723-1776

Specialties & licenses 1

Addresses

Other names 1

• WHOLEFamily Wellness Center Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Trisha As Sanders, LCSW

  • Clinical Social Worker
  • Bloomfield, NJ
  • NPI 1053680686
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1486080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486080000000",
    "number": "1467990044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 BROAD TER",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070032726",
            "telephone_number": "201-723-1776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 KINDERKAMACK RD",
            "address_2": "SUITE 100",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076753012",
            "telephone_number": "201-723-1776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLE FAMILY WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-03",
        "last_updated": "2017-02-03",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "TRISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-723-1776",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05368100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WHOLEFamily Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Social Worker in Westwood, NJ
• Providers in Westwood, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.